Onen Cigdem, Golac Hakan, Tunc Songur Elif, Kemaloglu Yusuf Kemal
Department of Speech and Language Therapy, Ankara Yildirim Beyazit University, Ankara, Turkey.
Department of Speech and Language Therapy, Gazi University, Ankara, Turkey.
J Voice. 2023 Mar;37(2):297.e1-297.e6. doi: 10.1016/j.jvoice.2020.12.050. Epub 2021 Jan 13.
Smoking affects the voice quality and the previous studies presented higher Voice Handicap Index (VHI) scores, and abnormal acoustic data in smokers. However, there is no study revealing any voice parameter indicating incipient damage in voice functionality. The studies documented that the adverse effects of smoking on phonatory function were higher in females than males and further the prevalence of smoking among females tends to increase. The purpose of this study was to investigate the effect of smoking on the acoustic and auditory-perceptual analysis of the speaking voice in female smokers who scored the VHI-10 scale as grade 0 (absent), and thus to look for a criterion for incipient vocal damage of smoking.
The study group composed of 22 female smokers and 22 female nonsmokers between the ages of 18 and 55 years. The acoustic parameters (mean F0, jitter local [%], jitter local abs, jitter rap, jitter ppq, shimmer local [%], shimmer local [dB], shimmer apq3, shimmer apq5, shimmer apq11, and mean HNR) and the GRBAS scale were analyzed in all subjects.
No significant difference observed between the smoker and nonsmokers groups in acoustic voice analysis. It was seen that the smokers presented a small but significant increase in the Strain parameter of the GRBAS scale while there was no significant difference in the Grade, Roughness, Breathiness, and Asthenia parameters between the study groups.
The results of this study indicate that increase in Strain could be considered as an early data in the smokers without voice complaints. However, our data declared that conventional acoustic perturbation analysis did not reveal incipient Strain in voice.
吸烟会影响嗓音质量，先前的研究显示吸烟者的嗓音障碍指数（VHI）得分更高，声学数据也异常。然而，尚无研究揭示任何表明嗓音功能早期损伤的嗓音参数。研究表明，吸烟对发声功能的不良影响在女性中比男性更大，而且女性吸烟率有上升趋势。本研究的目的是调查吸烟对VHI - 10量表评分为0级（无嗓音障碍）的女性吸烟者的言语嗓音声学和听觉感知分析的影响，从而寻找吸烟导致嗓音早期损伤的标准。
研究组由22名年龄在18至55岁之间的女性吸烟者和22名女性非吸烟者组成。对所有受试者分析声学参数（平均F0、局部抖动率 [%]、局部绝对抖动、RAP抖动、PPQ抖动、局部闪烁率 [%]、局部闪烁 [dB]、APQ3闪烁、APQ5闪烁、APQ11闪烁和平均谐噪比）以及GRBAS量表。
在声学嗓音分析中，吸烟者组和非吸烟者组之间未观察到显著差异。发现吸烟者在GRBAS量表的紧张度参数上有小幅但显著的增加，而研究组之间在等级、粗糙度、气息声和虚弱度参数上没有显著差异。
本研究结果表明，紧张度增加可被视为无嗓音主诉的吸烟者的早期数据。然而，我们的数据表明，传统的声学微扰分析未揭示嗓音中的早期紧张度。
